Lone Star Ranch Rehabilitation And Healthcare Center
316 GENERAL CAVAZOS BLVD, Kingsville, TX, 78363
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Nexion Health
- Certified beds
- 146 · avg 81 residents/day
- Total nursing staff turnover
- 45.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,190 total
State licensing & capacity
- License number
- 308550
- Service type
- Medicare/medicaid
- Licensed capacity
- 146 beds
- Bed type breakdown
- 50 Medicare-only · 96 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Kingsville, Inc
- Administrator
- David Mendez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (10 on record)
- Brian Lee
Operational/managerial Control · since 2022
- David Mak
Corporate Officer · 100% · since 2022
- Francis Kirley
Operational/managerial Control · since 2022
- John r Fallon
Operational/managerial Control · since 2022
- John t Reid
Operational/managerial Control · since 2022
- Meera Riner
Operational/managerial Control · since 2022
+ 4 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Lone Star Ranch Rehabilitation And Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 22)
- D0761·Dec 29, 2025Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0600·Dec 29, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0842·Nov 26, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0812·Jun 19, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jun 19, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0759·Jun 19, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0600·May 15, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0761·Nov 12, 2024Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Federal penalties
By year
- 20231 fine · $8,190
Most recent events
- Sep 18, 2023Fine · $8,190
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Jun 19, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Lone Star Ranch Rehabilitation And Healthcare Center is a 146-bed nursing home in Kingsville, TX, licensed under West Wharton County Hospital District and managed by Nexion Health at Kingsville. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and a 4-star inspection rating. Staffing rates 3 stars. The facility is running at roughly 56% of licensed beds, well below typical occupancy for the area.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about 202 minutes of nursing care per resident per day, roughly 39 minutes less than at a 4-star-staffing facility in Texas. Among Texas nursing homes, 19% of facilities fall at this staffing rating. RN coverage specifically runs at 27 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas.
One administrator has turned over in the past year, placing this facility at an elevated level on that measure. That kind of change at the leadership level can affect care coordination and staff continuity in ways that don't always show up immediately in inspection data.
CMS recorded one fine totaling $8,190. The median fine total across Texas nursing homes that receive any fine is $20,699, so this single fine falls well below the state midpoint.
The facility is operating at roughly 56% of its 146 licensed beds — about 81 residents on an average day. Low occupancy paired with other staffing and leadership signals is worth exploring directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the administrator change
One administrator left in the past year — ask who is currently in that role, how long they have been in place, and what prompted the transition.
Staffing levels on nights and weekends
CMS logs weekend nursing hours at 2.9 per resident per day, below the weekday figure — ask how many nurses and aides are on the floor on a Saturday night.
Why occupancy is at 56 percent
With roughly 81 of 146 beds filled, ask whether the low census reflects a recent discharge surge, referral changes, or another factor.
RN coverage during off hours
Reported RN hours average 27 minutes per resident per day — ask whether a registered nurse is on-site or on-call during evenings and overnight shifts.
How the Resident Council operates
A Resident Council is listed but no Family Council — ask how often the Resident Council meets and how family members can raise concerns if their relative cannot do so independently.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.